I am confused as I am not seeing any bundling issues. Is anyone else having this same denial?
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I have a few claims from particularly Premera and Amerigroup – but they are denying CPT codes 11102 & 11103 when billed together, even with no office visit or other procedure. I called in to ask and I am told there is a CCI edit but I find no edits between these two codes. Is anyone else having this issue?
Am I missing something?? i have used mod 59,79 even 58 to get the code paid but denies for "not deemed medical necessity". Please Help!!
66984 – RT w/ ICD-10: H25.811
66984 – 79, LT w/ ICD-10: H25.812
We have never had issues before and cannot get through to a live provider or customer service rep. Thank you for any suggestions.
99215 mod 25
90670-for pneumonia vaccine medicine
90471 mod 59 for vaccine admin code